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Masquelet technique with external locking plate for recalcitrant distal tibial nonunion

机译：用于顽固的远端胫骨壬座外锁板的Masquelet技术

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Abstract Objective In the present retrospective study, we aimed to analyze the results of treatment for recalcitrant distal tibial nonunion using Masquelet technique with locking plate as a definitive external fixator. Materials We included 15 consecutive cases of distal tibial nonunion treated at our hospital between January 2012 and December 2015. The reconstructive procedure comprised debridement of the nonunion site, deformity correction, stabilization with an external locked plate, defect filling with cement spacer for inducing membrane formation, and bone reconstruction using a cancellous bone autograft (Masquelet technique). All patients were followed-up for at least one year. Results Fracture union occurred in all cases after a median of 6.5 months (range, 5–12 months). Mean ankle motion ranged from 12.3 (range, 5–20) degrees of dorsiflexion to 35 (range, 5–55) degrees of plantar flexion. At the final follow-up, the median Iowa ankle score was 83 (range, 68–91). Eight patients had excellent scores, six had good scores, and one had fail score. Conclusion Although the current study involved only a small number of patients and the intervention comprised two stages, we consider that the used protocol is a simple and valuable alternative for the treatment of recalcitrant distal tibial nonunion.
机译：摘要目的在目前的回顾性研究中，我们旨在通过用锁定板作为明确的外固定器来分析使用锁紧板的顽固远端胫骨壬座治疗结果。材料在2012年1月至2015年12月在我们的医院中留下了连续15例远端胫骨壬尼亚患者。重建程序组成了非周期性部位的清新，畸形校正，用外部锁定板稳定，用水泥间隔物缺陷，用于诱导膜形成和使用松质骨自体移植（Masquelet技术）的骨重建。所有患者均被出去至少一年。结果在6.5个月（范围5-12个月）中位后，所有病例发生骨折联合。平均脚踝运动范围从12.3（范围，5-20）度的背裂到35（范围，5-55）跖屈曲程度。在最后的后续行动中，IOWA脚踝评分中位数为83（范围，68-91）。八名患者具有优异的分数，六个有良好的分数，一个人失败得分。结论虽然目前的研究涉及少数患者，但干预包括两个阶段，但我们认为使用的方案是一种简单而有价值的替代顽固的远端胫骨不间间。

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